Pregnancy in Woman with Multiple Sclerosis

Shin, Je-Young; Ahn, Suk-Won

J Mult Scler Neuroimmunol > Volume 11(2); 2020 > Article

Case Report

Journal of Multiple Sclerosis and Neuroimmunology 2020;11(2):45-52.
Published online December 1, 2020.

다발경화증 환자의 임신

신제영, 안석원^a

서울대학교병원 신경과
^a중앙대학교병원 신경과

Pregnancy in Woman with Multiple Sclerosis

Je-Young Shin, Suk-Won Ahn^a

Department of Neurology, Seoul National University Hospital, Seoul, Korea
^aDepartment of Neurology, Chung-Ang University Hospital, Seoul, Korea

Abstract

"Pregnancy is a major concern for many patients with multiple sclerosis (MS), who are typically young adults at a 3:1 female predominance. Through pre-conception, pregnancy, and postpartum periods, there is need for disease control management to decrease chances of MS relapses while avoiding potential risks to mother and fetus. However, pregnancy is not always compatible with the available highly effective MS treatments. This review provides the impacts on outcomes and on disease activity, anesthesia, and management of relapse during pregnancy and breastfeeding. Furthermore, available disease-modifying treatment is discussed to support the strategy after conception, as it is related to decreased risk of MS relapses during pregnancy and postpartum periods.Journal of Multiple Sclerosis and Neuroimmunology 11(2):45-52, 2020 "

Key Words: Key Words: Multiple sclerosis, Female, Pregnancy